Mr Scotty Wayne Russell, LMSW | |
4300 W 7th St, Little Rock, AR 72205-5446 | |
(501) 257-3316 | |
Not Available |
Full Name | Mr Scotty Wayne Russell |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4300 W 7th St, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639391071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1783-M (Arkansas) | Primary |
Entity Name | Life Within Counseling Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477051654 PECOS PAC ID: 0446684971 Enrollment ID: O20191216002838 |
Mailing Address | Practice Location Address |
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Mr Scotty Wayne Russell, LMSW 1007 W Booth Rd, Searcy, AR 72143-8628 Ph: (501) 279-7658 | Mr Scotty Wayne Russell, LMSW 4300 W 7th St, Little Rock, AR 72205-5446 Ph: (501) 257-3316 |
Ann Richardson Wrotny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10800 Financial Centre Pkwy, Suite 490, Little Rock, AR 72211 Phone: 501-228-0288 Fax: 501-228-8189 | |
Ms. Sabrina Louesa Blevins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 S Shackleford Rd Ste 300, Little Rock, AR 72211 Phone: 501-765-3266 Fax: 501-716-2530 | |
Michael D Lowery, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4224 Shuffield Dr, Little Rock, AR 72205 Phone: 501-526-8200 Fax: 501-526-5296 | |
Diana Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Childrens Way # 401, Little Rock, AR 72202 Phone: 501-364-3813 | |
Mrs. Elizabeth Pullam New, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1605 Kavanaugh Blvd, Little Rock, AR 72205 Phone: 501-247-5416 | |
Mr. John C. Knott, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 S Mckinley St, Suite 400, Little Rock, AR 72205 Phone: 501-663-4673 | |
Mr. Joseph Boatwright, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11028 Yosemite Valley Dr, Little Rock, AR 72212 Phone: 501-225-8092 Fax: 501-325-1711 |